Summary
Overview
Work History
Education
Skills
Certification
Studies
References
Timeline
Generic

Ambz

Grand Cayman

Summary

Personable and professional individual with a proven ability to effectively manage time and collaborate with others. Experienced in both volunteer and involuntary engagements, I have developed a deep understanding and keen interest in the health industry. Strong problem-solving abilities, coupled with a willingness to learn and excellent communication skills, make me well-equipped to contribute to team success and achieve positive results. Ready to take on new challenges and advance organizational objectives with dedication and enthusiasm.

Overview

9
9
years of professional experience
1
1
Certification

Work History

Junior Claims Examiner

Cayman First Insurance Company
03.2023 - Current
  • Handle sensitive information with discretion, ensuring confidentiality of personal and financial details for claimants throughout the claims examination process.
  • Utilize analytical skills to evaluate medical bills for accuracy and appropriateness of charges before approving payments as part of the claims process.
  • Participate in cross-functional team meetings to address organizational challenges related to claims management and develop solutions collaboratively.
  • Verification of patient benefits.
  • Provide exceptional customer service by empathetically addressing claimants'' concerns and effectively explaining the claims process to them.
  • Maintain current knowledge of industry developments, regulations, and best practices through continuous professional development activities.
  • Organizing provider cheques for distribution or mailing.
  • Assisting with walk in claim/benefit queries

Medical Office Administrative Assistant

ENT in Cayman
11.2021 - 02.2023
  • Check in and check out patients.
  • Obtain patient identification and insurance information.
  • Obtain referrals and pre-authorizations as required for procedures.
  • Verifying eligibility and benefits verification for treatments, hospitalizations, and procedures.
  • Maintains patient accounts by verifying insurance information and coordinating with relevant organizations for payment and referral requirements.
  • Perform billing services
  • Demonstrated excellent multitasking abilities while simultaneously handling various administrative tasks such as answering phones, greeting patients, and data entry.
  • Maintained a clean, organized reception area for a welcoming environment for patients and visitors.
  • Collaborated closely with medical staff to coordinate patient care plans and support overall clinic operations.
  • Reduced wait times by effectively managing walk-in appointments alongside scheduled visits.
  • Received, recorded and filed medical payments by check, cash, and credit card.

Assistant Underwriter

Island Heritage Insurance Company
04.2021 - 11.2021
  • Processing new business, policy renewal and alteration
  • Reviewing and providing renewal and new business terms
  • Scanning and updating electronic file
  • Preparing documentation for delivery to customers and independent agents
  • Provide relevant information to Mortgagees
  • Adhering to underwriting guidelines and procedures
  • Verifying data input: identify, research, resolve and correct errors on data system
  • Process policy cancelations
  • Responded to customer requests via telephone and email and effectively answered questions and inquiries.

Junior Accounts Clerk

BAF Insurance Company
11.2017 - 04.2021
  • Assisting in the Pension department
  • Updating client information
  • Issuing pension statements
  • Verify plan benefit
  • Filing.
  • Scanning Health application, Policy delivery
  • Processing Doctors & Insured Claim submissions
  • Sort claims cheque payment for approval
  • Create online bank transfers and vendors
  • Key in or type up any documents or items pertain to the accounts department
  • Process bill payments
  • Electronic filing of transfer letters, invoices, request email, etc.
  • Journal Cashier’s EOD Reconciliation
  • Import of HTH/UHC General Ledger
  • Prepare commission reports for agents
  • Clear bank reconciling items
  • Assist in daily Accounts department tasks
  • Supported annual audits by preparing accurate and well-organized financial documentation for review.
  • Receptionists

Receptionist

Department of Children and Family Services
01.2016 - 07.2016
  • Administrative: filing, home visits; Customer Service

Administrative Assistant (Internship)

HSM IP
09.2015 - 12.2015
  • Administrative: Reporting publications of application to clients, sending certificates to clients

Education

High School Diploma -

John Gray High School
Cayman Islands
06.2016

Skills

  • Researching skills
  • Claims Processing
  • Microsoft Office Suite
  • Teamwork and Collaboration
  • Attention to Detail
  • Multitasking Abilities
  • Excellent Communication
  • Adaptability and Flexibility

Certification

  • QuickBooks Online Desktop Training
  • AML- Anti Money Laundering Certification

Studies

AHIP- Fundamental of Health Insurance Part A (July 2024-Present)

References

Available upon request

Timeline

Junior Claims Examiner

Cayman First Insurance Company
03.2023 - Current

Medical Office Administrative Assistant

ENT in Cayman
11.2021 - 02.2023

Assistant Underwriter

Island Heritage Insurance Company
04.2021 - 11.2021

Junior Accounts Clerk

BAF Insurance Company
11.2017 - 04.2021

Receptionist

Department of Children and Family Services
01.2016 - 07.2016

Administrative Assistant (Internship)

HSM IP
09.2015 - 12.2015

High School Diploma -

John Gray High School

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